How much rates vary
Facilitymedian $33 · 10th to 90th $26 to $912Professionalmedian $44 · 10th to 90th $24 to $71
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $44.67 | Facility | None | $26.30 | $33.11 | $44.67 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $13.49 | Facility | 26 · Professional part | $7.76 | $9.77 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $31.62 | Facility | TC · Technical part | $19.05 | $23.44 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $41.69 | Professional | None (both parts) | $25.12 | $26.30 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $11.75 | Professional | 26 · Professional part | $7.41 | $7.59 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.05 Typical High $27.54 | Professional | TC · Technical part | $18.20 | $19.05 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $10.47 | Professional | 26 · Professional part | $7.41 | $7.41 | $10.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $128.82 | Facility | None | $66.07 | $66.07 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $66.07 Typical High $81.28 | Professional | None (both parts) | $23.99 | $66.07 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.59 Typical High $15.49 | Professional | 26 · Professional part | $7.08 | $12.59 | $15.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $16.60 | $53.70 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $7.24 Median $16.60 Typical High $23.99 | Facility | None | $7.24 | $16.60 | $23.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.61 Median $16.22 Typical High $25.70 | Professional | None (both parts) | $6.61 | $16.22 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $27.54 | $46.77 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $10.00 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.20 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $30.20 | $58.88 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $67.61 Median $912.01 Typical High $2,187.76 | Facility | None | $67.61 | $912.01 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $51.29 | Professional | None (both parts) | $27.54 | $34.67 | $51.29 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.77 Typical High $14.45 | Professional | 26 · Professional part | $7.76 | $9.77 | $14.45 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $24.55 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $24.55 | $33.88 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $8.71 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $46.77 | Professional | TC · Technical part | $17.38 | $24.55 | $46.77 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $13.18 Typical High $15.14 | Professional | 52 · Reduced service | $12.30 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.25 Typical High $6.17 | Professional | 53 · Discontinued | $4.90 | $5.25 | $6.17 |
Where Indiana sits
The same service costs 2.7 times more in Minnesota than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Indiana· 18th of 51
$42.66
MN $69.18MD $25.70
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.